Reference no: EM133915690

Question

Daisy has returned to hospital after managing her PD symptoms fairly well for the past year. She continues to have slow stiff movement that begun to progressed and are less responsive to her medications. She has experienced another fall and this time she has fractured her leg. She underwent a ORIF of the left femur complicated by blood loss and is now post op day 1 on the ward. Today she has developed what is thought to be post-operative anemia due to intraoperative blood loss. Daisy also has a history of low iron levels in the past prior to her PD diagnosis. Her hemoglobin is 82 g/L currently and she is to be transfused with two units of packed red blood cells. She is reporting extreme fatigue and some dyspnea with exertion.

1. Select 3 priorities of care for this client during your shift and provide your rationale for why these are important to consider for Daisy at this time.

2. What type of anemia is Daisy experiencing and provide your rationale for your choice?

For example, Daisy is likely experiencing xxxx anemia based on the assessment findings of .....

3. List 3 nursing interventions

1. one for the acute phase of anemia,

2. one related to her medical interventions and the last

3. in the context of risk reduction and ongoing wellness that you would implement and share the rational for your selections.

For example, 'In the acute phase of Daisy's health challenge with anemia I would implement ........' . 'This intervention is recommended because.......'

4. List 5 procedures essential for safe blood transfusion administration. For example, 'Essential safety procedures for blood transfusion include ....'.

5. Transfusions place patients at risk-please describe 2 potential adverse events associated with red cell transfusion and the appropriate nursing actions recommended to minimize these

For example, "Potential adverse events I would be concerned about are...' 'to minimize the risk of this adverse events the nurse should...'